MEDICARE: TRIANA MONEZ BOGGS APRN, CNM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	APRN11018205	FL
2	163WN0002X	Neonatal Intensive Care Registered Nurse	RN9583963	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922758820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRIANA MONEZ BOGGS APRN, CNM

Provider Business Mailing Address
First Line	:	2501 WALDEN WOODS DR # 3491
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33566-7168
Country	:	US
Telephone Number	:	813-365-9454
Fax Number	:	813-798-6422

Provider Business Practice Location Address
First Line	:	410 S WARE BLVD STE 809
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-4456
Country	:	US
Telephone Number	:	813-365-9454
Fax Number	:	813-798-6422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	01/08/2026

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